Antibiotics and Topical Nasal Steroid for Treatment of Acute Maxillary Sinusitis

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Abstract
Symptoms consistent with acute sinusitis are commonly encountered in primary care practices and are due to a broad group of usually undefined etiologies at the time of the initial treatment decision. Estimates from the United Kingdom suggest that a primary care physician sees 50 or more cases per year.1 Of the cases in which acute maxillary sinusitis (rhinosinusitis) is suspected on presentation, considerably few are reliably confirmed by the physician.2,3 Studies conducted in primary care practices suggest that 37% to 63% of patients presenting do not have a confirmed diagnosis.4-7